Active NPI
Anne Shubak, MA, CCC-SLP
- Speech-Language Pathologist
- Pittsburgh, PA
National Provider Identifier
1023146347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL008326
- Practice address
- 407 Olde Ingomar CT
Pittsburgh, PA 15237-4333 - Phone
- (724) 316-0883
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL008326 | PA | Primary |
Addresses
Primary practice location
407 Olde Ingomar CT
Pittsburgh, PA 15237-4333
Mailing address
407 Olde Ingomar CT
Pittsburgh, PA 15237-4333
Phone (724) 316-0883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101426294 | Other | PA | MA NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008326 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1023146347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 OLDE INGOMAR CT",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152374333",
"telephone_number": "724-316-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 OLDE INGOMAR CT",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152374333",
"telephone_number": "724-316-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUBAK",
"first_name": "ANNE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA NUMBER",
"identifier": "101426294",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.